Edward John Malazdrewicz, AUD FAAA

Primary specialty

Audiologist-Hearing Aid FitterTaxonomy code 237600000X

License

1149 Issued in ND

Practice address

1400 37TH Ave SW
Minot, ND 58701-7244

Phone

(701) 852-6565

Fax

(701) 838-9381

NPI assigned

Dec 9, 2005

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Midwest Audiology, PC

  • Audiologist-Hearing Aid Fitter
  • Minot, ND
  • NPI 1649216169
  NPD
• Northern Lights Clinic SC

  • Otolaryngology Physician
  • Marinette, WI
  • NPI 1033155924
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311724800000",
    "number": "1467437673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 37TH AVE SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587017244",
            "telephone_number": "701-852-6565",
            "fax_number": "701-838-9381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 37TH AVE SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587017244",
            "telephone_number": "701-852-6565",
            "fax_number": "701-838-9381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALAZDREWICZ",
        "first_name": "EDWARD",
        "middle_name": "JOHN",
        "credential": "AUD FAAA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2011-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "ND",
            "license": "1149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "55823",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lesley Carol Magnus, PH.D.
• Madison Magnuson, MS, SLP
• Wanda G Maixner, OTR/L
• Janice Marie Majeske I, RN
• Aaron Patrick Makens, MD
• Renu Malhi, MD
• Audrey Marie Maline
• Management & Training Corporation
• Suneet Mangat, MD
• Radhika Manjeshwar, MD

• Audiologist-Hearing Aid Fitter in Minot, ND
• Providers in Minot, ND by specialty
• Audiologist-Hearing Aid Fitter in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.